ACR Appropriateness Criteria® Epigastric Pain.

Autor:	Vij A; New York University Langone Medical Center, New York, New York; and UT Southwestern Medical Center, Dallas, Texas. Electronic address: abhinav.vij@nyulangone.org., Zaheer A; Johns Hopkins Hospital, Baltimore, Maryland; Chair, Disease Focus Panel for Pancreatitis, Society of Abdominal Radiology; and Associate Editor, Journal Abdominal Radiology., Kamel IR; Panel Chair, Johns Hopkins University School of Medicine, Baltimore, Maryland., Porter KK; Panel Vice-Chair, University of Alabama Medical Center, Birmingham, Alabama; and Board of Directors/President (2021), American Association for Women in Radiology., Arif-Tiwari H; University of Arizona, Banner University Medical Center, Tucson, Arizona., Bashir MR; Associate Vice-Chair for Research, Department of Radiology, Duke University Medical Center, Durham, North Carolina., Fung A; Oregon Health & Science University, Portland, Oregon., Goldstein A; Division Chief, Abdominal Imaging, University of Massachusetts Medical School, Worcester, Massachusetts., Herr KD; Emory University, Atlanta, Georgia., Kamaya A; Stanford University Medical Center, Stanford, California; and President-Elect (2020-2021) and President (2021-2022), Society of Radiologists in Ultrasound., Kobi M; Montefiore Medical Center, Bronx, New York., Landler MP; Northwestern University Feinberg School of Medicine, Chicago, Illinois; Primary care physician., Russo GK; University of Connecticut, Farmington, Connecticut., Thakrar KH; NorthShore University HealthSystem, Evanston, Illinois., Turturro MA; University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; American College of Emergency Physicians., Wahab SA; University of Cincinnati Medical Center, Cincinnati, Ohio., Wardrop RM 3rd; The University of Mississippi Medical Center, Jackson, Mississippi; American College of Physicians; Member, American Board of Internal Medicine; Internal Medicine Specialty Board; and Program Director, Cleveland Clinic., Wright CL; The Ohio State University Wexner Medical Center, Columbus, Ohio; Board of Directors, American Board of Science in Nuclear Medicine (ABSNM); and Board of Directors, American College of Nuclear Medicine (ACNM)., Yang X; Phoenix Indian Medical Center, Phoenix, Arizona; American College of Surgeons; and Volunteer Board Member, Franklin Pierce PA School., Carucci LR; Specialty Chair; and Director, CT and MRI, and Section Chief, Abdominal Imaging, Virginia Commonwealth University Medical Center, Richmond, Virginia.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2021 Nov; Vol. 18 (11S), pp. S330-S339.
DOI:	10.1016/j.jacr.2021.08.006
Abstrakt:	Epigastric pain can have multiple etiologies including myocardial infarction, pancreatitis, acute aortic syndromes, gastroesophageal reflux disease, esophagitis, peptic ulcer disease, gastritis, duodenal ulcer disease, gastric cancer, and hiatal hernia. This document focuses on the scenarios in which epigastric pain is accompanied by symptoms such as heartburn, regurgitation, dysphagia, nausea, vomiting, and hematemesis, which raise suspicion for gastroesophageal reflux disease, esophagitis, peptic ulcer disease, gastritis, duodenal ulcer disease, gastric cancer, or hiatal hernia. Although endoscopy may be the test of choice for diagnosing these entities, patients may present with nonspecific or overlapping symptoms, necessitating the use of imaging prior to or instead of endoscopy. The utility of fluoroscopic imaging, CT, MRI, and FDG-PET for these indications are discussed. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. (Copyright © 2021 American College of Radiology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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